Victor J. Haddock - 01 Feb 2022 Form 4 Insider Report for TRIPLE-S MANAGEMENT CORP

Source evidence Original filing metadata and source links for verification. 4 source fields
SEC form
4
Accepted by SEC
03 Feb 2022, 18:09:33 UTC
Prior SEC filing
18 May 2021
Source filing
View source filing
Reporting owner 1 detail
Reporting owner signature
/s/ Manuel Rodriguez-Boissen, Attorney-in-Fact

Key filing fact

Victor J. Haddock filed Form 4 for TRIPLE-S MANAGEMENT CORP on 03 Feb 2022.

Key facts

  • This page summarizes Victor J. Haddock's Form 4 filing for TRIPLE-S MANAGEMENT CORP.
  • 2 reported transactions and 0 derivative rows are listed below.
  • Accepted by SEC: 03 Feb 2022, 18:09.

Change

  • Previous filing in this sequence was filed on 18 May 2021.
  • Current net transaction value: -$1,380,132.

Research use

  • This tells you what this filing adds before you inspect full transaction and derivative tables.
  • You can trace every row back to the original SEC filing document.

Evidence

Filed on Form 4

Ownership activity is grounded in SEC Form 4 disclosures.

View source filing

Reported non-derivative transactions

Shares, units, or other non-derivative securities reported in this filing.

GTS transaction

Common Stock

Award

Transaction value
$0
Shares
+20,323
Change %
+113%
Price
$0.000000
Shares after
38,337
Date
01 Feb 2022
Ownership
Direct
Footnotes
F1
GTS transaction

Common Stock

Disposed to Issuer

Transaction value
$1,380,132
Shares
-38,337
Change %
-100%
Price
$36.00
Shares after
0
Date
01 Feb 2022
Ownership
Direct
Footnotes
F2, F3
* marks a reported price that did not pass the local price check.

Additional SEC filing notes

Filing notes and footnotes

Section 16 status

Victor J. Haddock is no longer subject to Section 16 filing requirements. Form 4 or Form 5 obligations may still apply in specific circumstances.

Explanation of responses 3 footnotes

Footnote F1

Shares represent common stock earned pursuant to the grant of Performance Shares. Pursuant to the Merger Agreement between Triple-S Management Corporation (the "Issuer"), GuideWell Mutual Holding Corporation and GuideWell Merger, Inc. dated August 23, 2021 (the "Merger Agreement"), such Performance Shares were granted based on a performance metric agreed to by the parties in the Merger Agreement. The Performance Shares resulting in the right to receive such shares of Common Stock do not constitute derivative securities. As a result, such Performance Shares were nor required to be reported and were not reported on a Form 4 at the time of the award.

Footnote F2

The amount of securities beneficially owned reported in Column 4 includes certain restricted stock that was accelerated and vested in accordance with the the terms of the Merger Agreement.

Footnote F3

Pursuant to the terms of the Merger Agreement, all issued and outstanding shares of the Issuer were acquired at $36 per share.

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